Active NPIIndividual providerSole proprietor

Dr. Heather A Bourdeau, OD

Optometrist in White River Junction, Vermont

NPI Number1851457030
Practice location
587 Hartford Ave, White River Junction, VT 05001-8031
Fax
—
Last updated
January 30, 2024

Heather Anne Bourdeau is an Optometrist based in White River Junction, VT. Heather Anne Bourdeau practices in White River Junction, VT and has the professional credentials of OD. The NPI Number for Heather Anne Bourdeau is 1851457030 and holds a License No. 4373-TP (MA). The current practice location address for Heather Anne Bourdeau is 587 Hartford Ave, White River Junction, VT 05001-8031 and can be reached out via phone at 802-295-4887.

Provider Profile Details

NPI Number
1851457030
Provider Name
Heather Anne Bourdeau
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
587 Hartford Ave, White River Junction, VT 05001-8031
Phone Number
802-295-4887
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 29, 2006
Last Update Date
January 30, 2024
Certification Date
March 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
587 Hartford Ave
White River Junction, VT 05001-8031
State
Vermont
Zip
05001-8031
Phone Number
802-295-4887
White River Junction, VT 05001Get directions →

Provider Business Mailing Address Details

Address
587 Hartford Ave
White River Junction, VT 05001-8031
City
White River Junction
State
VT
Zip
05001-8031
Phone Number
802-295-4887

License Information

License Number (1)
4373-TP
License State (1)
MA
Taxonomy (1)
Optometrist, Low Vision Rehabilitation · 152WL0500X
License Number (2)
030.0133973
License State (2)
VT
Taxonomy (2)
Optometrist, Low Vision Rehabilitation · 152WL0500X
License Number (3)
4373-TP
License State (3)
MA
Taxonomy (3)
Optometrist, Pediatrics · 152WP0200X
License Number (4)
4373-TP
License State (4)
MA
Taxonomy (4)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Heather A Bourdeau, OD?

The NPI number of Dr. Heather A Bourdeau, OD is 1851457030. It was assigned on December 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Heather A Bourdeau, OD?

Dr. Heather A Bourdeau, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4373-TP.

Where does Dr. Heather A Bourdeau, OD practice?

The practice location is 587 Hartford Ave, White River Junction, VT 05001-8031. The office can be reached at 802-295-4887 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851457030 directly on the NPPES registry website.

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